Public Health Wales has praised new findings from the NHS Wales Dental Epidemiological Programme, which show a notable reduction in tooth decay rates among 12-year-olds, while also highlighting significant inequalities and an alarming level of untreated dental issues.
The most recent survey, part of the 2023/24 academic year’s dental health assessment, was conducted across 203 state-maintained schools, involving a total of 6,329 Year 7 students (aged 12). The results reveal a decrease in the prevalence of tooth decay—defined as decayed, missing, or filled teeth—from 31% in 2016/17 to 25.3%, marking the lowest rate in recent years.
Moreover, the severity of tooth decay has also improved, with children now showing, on average, just half a decayed tooth compared to previous years. However, for those already affected by decay, the average number of diseased teeth remains unchanged at two, the same as in 2016.
Persistent Challenges Despite Improvements
While these findings are positive, challenges remain. Nearly 30% of children reported that oral health problems were impacting their quality of life, with pain being the most frequent complaint. Furthermore, disparities between children from different socioeconomic backgrounds continue to be a pressing issue. Children from more deprived areas are still experiencing higher rates of tooth decay compared to their peers in wealthier regions.
Although the report acknowledges some long-term improvements in oral health among deprived communities since 2008/09, significant inequalities persist, raising concerns for health professionals.
Calls for Action on Oral Health Inequalities
Paul Brocklehurst, Consultant in Dental Public Health at Public Health Wales, described the findings as both encouraging and a stark reminder of the work still needed. “These results are a step in the right direction, showing a clear decline in the prevalence and severity of tooth decay among 12-year-olds in Wales,” he said. “However, they also reveal that untreated tooth decay remains a growing concern, and children from deprived areas are disproportionately affected.”
Brocklehurst stressed the importance of prevention in tackling these issues. “Good oral health begins with simple measures like a balanced diet low in sugar and regular tooth brushing with fluoride toothpaste,” he said. “It’s essential that we continue working with schools, families, and communities to address these inequalities and ensure every child in Wales has the best possible start in life.”
A Collaborative Effort for Continued Improvement
The survey’s findings underscore the need for ongoing collaborative efforts to improve oral health across Wales. Education, preventive care, and support from families, schools, and dental professionals are crucial to sustaining and building upon the progress made in reducing tooth decay.
These results are detailed in the “Picture of Oral Health 2024” report, published by the Welsh Oral Health Information Unit at Cardiff University, which serves as a vital resource for understanding the current state of children’s dental health in Wales.
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